Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
CME
Outcomes
Research
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
 
JCOM
BACK ISSUE articles are $15 each.
 
International credit cards NOT accepted.



JCOM Paid Subscribers
LOG IN
user name:
password:
 
Forgot password?

JCOM Abstract


J Clin Outcomes Manage 
2008 Jul;15(7):329-337
From bad to better: a qualitative assessment of low-performing hospitals that improved their smoking cessation counseling performance
Hafner JM, Williams SC, Morton DJ, Koss RG, Loeb JM

Abstract Objective: To identify factors that contributed to improvements in the rate of smoking cessation counseling delivered to patients with acute myocardial infarction, heart failure, and pneumonia in a sample of low-performing hospitals. Design: Qualitative research. Setting and participants: 7 hospitals with significant performance improvement and 7 hospitals with limited or no improvement on national standardized measures of smoking cessation counseling. Hospitals were selected from 210 hospitals reporting performance measure rates in the lower 25th percentile for 2 consecutive quarters at baseline. Interviews were conducted with administrative and front-line staff involved in providing or supervising smoking cessation counseling services and quality improvement activities. Measurement: The 28 interview questions primarily focused on the hospitalís current approach to smoking cessation counseling, the challenges in program implementation, and general perceptions about smoking cessation counseling efforts. Results: Hospitals that improved reported actively involved leadership, use of multidisciplinary team approaches, and collaboration between leadership and front-line staff to address documentation issues, education, and perceived barriers. Conclusions: Smoking cessation counseling is a valuable preventive intervention, especially when delivered by a diverse group of health care professionals. With senior leadershipís active support of improvement efforts, hospitals initially identified as low performers successfully improved their rates.

Original Research

Search the Turner White index to find abstracts of articles published in JCOM.





New issues are posted one month following publication of the printed journal.



View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999



Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2014, Turner White Communications
Updated 1/20/14 • jdw